Provider Demographics
NPI:1528357423
Name:SCHNEIDER, JESSICA JANE (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:JANE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:JANE
Other - Last Name:STRATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:503 KNIGHT ST STE B
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4257
Mailing Address - Country:US
Mailing Address - Phone:509-521-5781
Mailing Address - Fax:
Practice Address - Street 1:503 KNIGHT ST STE B
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4257
Practice Address - Country:US
Practice Address - Phone:509-521-5781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60171207R00000X
WAMD60696232207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine